Healthcare Pricing Data: RIVERSIDE, CA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
11.9x
Across all procedures
vs National Average
+163%
Chargemaster rates
About This Data
RIVERSIDE, CA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 11.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in RIVERSIDE is ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC (DRG 003), with an average chargemaster rate of $2,263,874 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $161,600 | 3 | 9.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $73,760 | 3 | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $654,601 | 2 | 10.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $438,750 | 2 | 9.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $320,299 | 2 | 8.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $155,807 | 2 | 8.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $154,681 | 2 | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $146,245 | 2 | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $143,003 | 2 | 11.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $117,980 | 2 | 10.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $111,603 | 2 | 9.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $106,772 | 2 | 9.2x |
| RENAL FAILURE WITH MCC | 682 | $99,460 | 2 | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $92,535 | 2 | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $76,351 | 2 | 10.0x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $66,572 | 2 | 8.9x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $2,263,874 | 1 | 11.3x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $1,779,237 | 1 | 14.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $1,244,745 | 1 | 24.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $869,327 | 1 | 18.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $826,577 | 1 | 18.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $780,429 | 1 | 13.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $573,013 | 1 | 12.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $545,025 | 1 | 17.0x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $527,992 | 1 | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $467,516 | 1 | 16.9x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $417,178 | 1 | 12.9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $406,018 | 1 | 11.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $390,332 | 1 | 11.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $388,537 | 1 | 13.2x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in RIVERSIDE With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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